Transcription of Care Coordination Best-Practices Toolkit
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Care Coordination Best-Practices Toolkit
Care Coordination Best-Practices ToolkitCollaborating with partners, providers, patients, families,and caregivers to improve and lower healthcare overview of care Coordination best practices to avert hospital readmissionsDownload available at: | 1 Table of Contents Executive Summary .. Organizational Assessment .. Five Key Areas Known to Reduce Avoidable Readmissions .. Typical Failures in Discharge Planning .. Organizational Assessment Summary and Sample .. Admission Assessment Tool .. Discharge Observation Tool .. Preparing for Change .. Five Whys Tool for Root Cause Analysis .. Goal Setting Worksheet .. Strategy Tree Form and Readmission Reviews .. Interview with Patients, Family Members and Care Team Members.
your organization’s readmission prevention strategies. It is crucial to understand the processes that are in place as readmission strategies are introduced. An essential primary step is to identify members of the team who will focus on reducing readmissions.
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